|
|
||
|
British
Association for Applied Linguistics |
||
|
Subscription Form Please
complete by hand or electronically. Return the form by post only with your subscription payment to: Jeanie
Taylor, BAAL membership, c/o Dovetail Management Consultancy, Payment
must be included with your membership application form. For
those applying from countries other than the |
||
|
This
is a: |
new
subscription / subscription renewal (delete as appropriate) |
|
|
Family
name: |
|
|
|
Title: |
|
|
|
First
name(s): |
|
|
|
Sex: |
Male /
Female |
|
|
Year
of birth: |
|
|
|
Email
address: |
|
|
|
Address
for mailings: |
|
|
|
Current
or most recent post and institution: |
|
|
|
I
wish to subscribe to baalmail: |
Yes
/ No |
|
|
Type
of membership: |
individual
/ institutional (i.e. university
departments)/ associate (i.e. publishers) / reduced rate student / reduced
rate retired / reduced rate unwaged |
|
|
Subscription
period: |
1 year |
please see *
below |
|
I
consider myself a social scientist |
Yes /
No |
Please complete only if you are an individual member. This enables BAAL to calculate the annual membership fee
it pays to the |
|
Payment
method: |
cheque
/ money order / credit card payment details / direct debit ·
Cheques and money orders
should be made payable to 'BAAL'.
|
|
|
Completing this extra information is optional, but it
will help us to understand the needs of the membership better |
||
|
First
degree (title, institution, subject, year) |
|
|
|
Further
degree(s) (title, institution, subject, year) |
|
|
|
Professional
qualifications (title, institution, subject, year) |
|
|
|
Membership
of related organisations |
|
|
|
Recent
publications |
|
|
|
* The
membership year runs from January to December. For renewed and new
memberships received up to 1st June your membership will be
backdated to the beginning of the current year and any mailings already
published in the year will be posted to you. For renewed and new memberships
received after 1st June, your membership will be activated at the
time of the Annual Conference, i.e. at the beginning of September. It will
run for 15 months if you have paid the annual subscription rate. |
||
If paying by credit card, please complete the following NB fields marked with *
are compulsory:
|
SUBSCRIPTION
RATES |
1 Year |
|
Individual |
£40 |
|
Individual direct debit rate |
£38 |
|
Reduced rate - (student, retired,
unemployed) |
£15 |
|
Associate (publishers) |
£125 |
|
Institutional (4 named persons in
a university department) |
£120 |
|
Supplement for surface or airmail
delivery to overseas destinations (delete as appropriate) |
+ £5/£15 |
|
Subscription
payment for membership of the
British Association for Applied Linguistics |
|
|
Total
amount: |
*
£ (sterling)
(please remember to include a supplement for overseas delivery of mailings if
you live outside the |
|
Voluntary Additional Subscription: BAAL has a
policy of keeping the membership subscription as low as possible. However,
you may wish to make a voluntary additional subscription to support BAAL
activities. Your subscription may be used for any appropriate purpose, but
where possible will support scholarships to the BAAL Annual Meeting. |
I wish to make an additional
contribution of £____ (sterling) (please add amount) to support BAAL
activities. To make a contribution specifically in
support of the Chris Brumfit International Scholarship please go to: www.baal.org.uk/chrisbrumfit_intschol.pdf
( A Gift Aid form is available at: www.baal.org.uk/join_giftaid.pdf
) |
|
Type of
card: |
VISA /
Access / Mastercard / Maestro (we are
unable to accept American Express cards) |
|
Card
number: |
* |
|
Issue no. (for Switch & Maestro payments): |
* |
|
Expiry
date: |
* |
|
Card
security number (see reverse of card): |
* |
|
Name as
displayed on the card (PLEASE PRINT): |
* |
|
Signature: |
|
|
Date: |
|
|
Email
address of cardholder: |
* |
The postal and e-mail address you
have given above will also be published in the BAAL Membership List, due out
with the Summer mailing. If you wish different details
to appear on the List, please give them below.
|
Email
address for List: |
|
|
Address
for List: |
|
You will automatically be
subscribed to the email discussion list, baalmail, unless you tell us
otherwise.
Credit card payment may also be
faxed through to the BAAL Administrative office on the number given below.
PLEASE DO NOT E-MAIL CREDIT CARD
PAYMENT DETAILS; THE E-MAIL ADDRESS IS NOT SECURE.
Jeanie Taylor Tel:
0845 456 8208 or 020 7639 0090
BAAL Membership Administration Fax: 020 7635 6014